MICHAEL MOOREVILLE (NPI# 1619989696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619989696 |
| Entity Type | Individual |
| Full Name | MICHAEL MOOREVILLE |
| Credential | M.D. |
| Practice Address |
272 N Lansdowne Ave Lansdowne PA 19050-1143 |
| Practice Telephone | 6102593434 |
| Practice Fax Number | 6102593480 |
| Mailing Telephone | 6102593434 |
| Mailing Fax Number | 6102593480 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2008-12-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD022478E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | IBC | 0031118000 | 01 |
| PA | AETNA | 4612083 | 01 |
| PA | 0009582890001 | 05 | |
| NJ | AETNA | 4612083 | 01 |
| Street Address |
272 N LANSDOWNE AVE |
| City | LANSDOWNE |
| State | PA |
| Zip Code | 19050-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063075919 | Elite Provider Management, LLC | Nurse Practitioner | 941 Church Ln, Lansdowne, PA 19050 | 2019-04-16 |
| 1598295602 | Sherita Baylis | In Home Supportive Care | 112 Hirst Ave, Lansdowne, PA 19050 | 2017-06-13 |
| 1417486861 | Raul Alvarez De- La Cadena | Counselor | 7 Willowbrook Ave, Lansdowne, PA 19050 | 2017-06-08 |
| 1154857589 | Pettaway Pursuit Foundation | Home Health | 11 Owen Ave, Lansdowne, PA 19050 | 2017-05-04 |
| 1265895155 | Ruth Levin | Behavioral Analyst | 111 N. Lansdowne Ave. Bldg 4 J2, Lansdowne, PA 19050 | 2016-03-30 |
| 1366865065 | Anthony Napoletano | Hearing Instrument Specialist | 54 E. Baltimore Avenue, Lansdowne, PA 19050 | 2014-01-31 |
| 1386984151 | Se,com,sa | Chronic Disease Hospital | Eurovillage Compound, Al Khobar, Eastern Province, 3193, Saudi Arabia, EUROVILLAGE COMPOUND, AL KHOBAR, EASTERN 19050 | 2013-02-15 |
| 1659636116 | Ameri Dental Group P.C. | Dentist | 43 South Lansdowne Avenue, Lansdowne, PA 19050 | 2012-07-11 |
| 1184934663 | Neil I Pakett | Dentist | 43 S. Lansdowne Ave., Lansdowne, PA 19050 | 2010-10-18 |
| 1376863043 | Soar Corp | Community/Behavioral Health | 33 Williams St, Lansdowne, PA 19050 | 2010-06-04 |
| Find all providers in zip 19050 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942526165 | Nathan Roberts | Urology | 19415 Deerfield Ave, Suite 112, Lansdowne, VA 20176-8452 | 2010-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230468 | St Clair Medical Services, Inc. | Urology | 2000 Oxford Dr Ste 410, Bethel Park, PA 15102-1841 | 2020-09-22 |
| 1326673690 | Glade Run Medical Associates, Inc. | Urology | 500 Medical Arts Bldg Ste 520, Kittanning, PA 16201-7137 | 2020-03-07 |
| 1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
| 1558859645 | East Freedom Surgical Associates, LLC | Urology | 15721 Dunnings Hwy, Duncansville, PA 16635 | 2018-04-25 |
| 1528560943 | Lancaster Urology PC | Urology | 175 Martin Ave Ste 300, Ephrata, PA 17522-1761 | 2018-03-01 |
| 1841706561 | Urology of Central Pennsylvania, Inc | Urology | 815 Sir Thomas Ct Ste 100, Harrisburg, PA 17109-4839 | 2017-12-18 |
| 1003326869 | St Luke's Physician Group Inc | Urology | 5325 Northgate Dr Ste 203, Bethlehem, PA 18017-9413 | 2017-10-06 |
| 1952829350 | Centers for Advanced Urology, LLC | Urology | 140 W Germantown Pike Ste 250, Plymouth Meeting, PA 19462-1421 | 2017-09-06 |
| 1346767944 | Nazareth Physician Services | Urology | 2701 Holme Ave Ste 101, Phila, PA 19152-2029 | 2017-08-24 |
| 1710403191 | Mercy Management of Sepa | Urology | 501 S 54th St Ste 227, Phila, PA 19143-1900 | 2017-08-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.